15th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 13-15, 2016 • San Diego, CA
3/15/2016 | 1:45 PM - 2:15 PM | Topical Session 6 | Royal Palm 5/6 | 2 - Audiological Services
Relative likelihood of hearing loss diagnosis among children with Tier 2 risk factors
Massachusetts state guidelines recommend children with certain risk factors (aka Tier 2 factors) who pass their newborn hearing screening obtain a hearing evaluation by 24 to 30 months of age. The risk factors include caregiver concern, family history, NICU stay of more than 5 days, TORCH infections. Our clinical experiences at Boston Children's Hospital led us to wonder if the increased load on audiology services was warranted for all these cases. Our wait times for audiology services for newborns referring hearing screening and patients with established hearing losses increased with the greater number of Tier 2 referrals; however the number of children actually identified with a hearing loss seemed minuscule. In this presentation, we will describe the results of our study calculating the odds ratio of hearing loss based on the Tier 2 risk factor in our patient population. The results of this study may help agencies determine which diagnoses are more urgent for audiologic monitoring and which may be indicated for further cost-benefit analyses.
- list the Tier 2 risk factors for hearing loss
- describe the relative likelihoods of hearing loss based on the risk factors
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Presenters/Authors
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Derek Stiles
(Primary Presenter,Author), Boston Children's Hospital, derek.stiles@childrens.harvard.edu;
Derek Stiles has been director of diagnostic audiology at Boston Children's Hospital since 2014. He leads a team of 30 audiologists, serving 20,000 patients a year across 6 clinical sites in Eastern Massachusetts.
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No relevant financial relationship exist.
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No relevant nonfinancial relationship exist.
Alison Leschinski
(Author), Boston Children's Hospital, alison.leschinski@childrens.harvard.edu;
Alison Leschinski has been a clinical audiologist at the Boston Children's Hospital since September 2005 and is currently holds the role of Audiology Site Manager. Dr. Leschinski has worked in the role of Program Audiologist for the Universal Newborn Hearing Screening program and the Diagnostic Follow-up for NHS, reporting data to the Department of Public Health. She received her BS from the University of Rhode Island in Communicative Disorders, her ScD from Seton Hall University and completed her externship in Audiology at the Massachusetts Eye and Ear Infirmary. Dr. Leschinski has special interest in pediatric diagnostic testing.
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Kaitlyn DeFonzo
(Co-Presenter,Author), Boston Children's Hospital, kaitlyn.defonzo@childrens.harvard.edu;
Kate DeFonzo is an audiologist at Boston Children’s Hospital. She earned her doctoral degree in Audiology from Gallaudet University, a bilingual and bicultural university designed to educate those who are- and who wish to work with- Deaf and hard-of-hearing individuals. For several years, Kate served as an instructor in the Peer Mentoring Program for adults with hearing loss who wish to provide supportive services to other deaf or hard-of-hearing individuals, and most recently was a fellow of the Leadership Education in Neurodevelopmental and Related Disabilites (LEND) Program through the Maternal Child Health Bureau and Institute for Community Inclusion. Kate’s combined experience affords her to be a valuable resource for children and their families.
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